Active NPI
Stephanie B Gifford, OTR/L
- Occupational Therapist
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009101
- Practice address
- 8491 W Grand River Ave Ste 600
Brighton, MI 48116-4359 - Phone
- (810) 225-1187
- Fax
- (810) 225-1284
- NPI assigned
- Jan 31, 2006
- Last updated
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3909-026 | WI | |
| Occupational Therapist | 225X00000X | 5201009101 | MI | Primary |
Addresses
Primary practice location
8491 W Grand River Ave Ste 600
Brighton, MI 48116-4359
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other names 1
- Stephanie S Baldwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
1651 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 934-1000
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Interoperability endpoints
- stephanie.gifford.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sequoia Care
- Physical Therapist
- Englewood Cliffs, NJ
- NPI 1699552646
FL, Occupational Therapist
-
dba Sequoia Care Outpatient Therapy Services
- Physical Therapist
- League City, TX
- NPI 1821823717
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1366413965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8491 W GRAND RIVER AVE STE 600",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481164359",
"telephone_number": "810-225-1187",
"fax_number": "810-225-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "STEPHANIE",
"middle_name": "B",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3909-026",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BALDWIN",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.